Organization
BY YOUR SIDE COLORADO, LLC
Active
Parent organization
BY YOUR SIDE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BY YOUR SIDE, LLC
Authorized official
KATHY KOZICKI (SR MANAGER-BILLING)
(630) 590-5571
Entity
Organization
Contact information
Practice address
8415 EXPLORER DR STE 130, COLORADO SPRINGS, CO 80920-1034
(630) 590-5571
(630) 326-7175
Mailing address
8201 CASS AVE, DARIEN, IL 60561-5314
(630) 590-5571
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
02/04/2021
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